Interest in performing cardiac procedures in the outpatient setting is growing, and the Heart and Rhythm Institute of Trinity is at the forefront of the movement. Although the Centers for Medicare and Medicaid Services (CMS) does not yet reimburse ASCs for these procedures, many managed care companies do. With an increasing number of outpatient centers providing cardiac procedures, growing awareness of the cost savings and the positive experiences that patients report, the chances of cardiac procedures being performed in ASCs is rising.